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    <td colspan="7" align="center"><span class="zt10">交通事故记录表</span></td>
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    <td width="114" bgcolor="#FFFFFF"><span class="zt9">车牌号</span></td>
    <td width="104" bgcolor="#FFFFFF"><span class="zt9">产权单位</span></td>
    <td width="81" bgcolor="#FFFFFF"><span class="zt9">司机</span></td>
    <td width="93" bgcolor="#FFFFFF"><span class="zt9">时间</span></td>
    <td width="100" bgcolor="#FFFFFF"><span class="zt9">地点</span></td>
    <td colspan="2" bgcolor="#FFFFFF"><span class="zt9">事故费用明细</span></td>
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    <td rowspan="4" bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td rowspan="4" bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td rowspan="4" bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td rowspan="4" bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td rowspan="4" bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td width="296" bgcolor="#FFFFFF"><span class="zt9">费用名称</span></td>
    <td width="75" bgcolor="#FFFFFF"><span class="zt9">金额</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">　</span></td>
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    <td colspan="5" bgcolor="#FFFFFF"><span class="zt9">事件经过、责任分析</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">0</span></td>
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    <td colspan="5" rowspan="17" bgcolor="#FFFFFF"><span class="zt9">　</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">0</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">费用总计</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">保险公司理赔金额：</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">结案日期：</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td colspan="2" bgcolor="#FFFFFF"><span class="zt9">赔付金额到账时间：</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">司机承担金额</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">0</span></td>
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    <td bgcolor="#FFFFFF"><span class="zt9">处理事故经办人：</span></td>
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    <td colspan="2" bgcolor="#FFFFFF"><span class="zt9">理赔受理公司：</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">　</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">最终损失金额</span></td>
    <td bgcolor="#FFFFFF"><span class="zt9">0</span></td>
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